INNER HEALING MEDICAL PLLC NPI 1700566635

NPI Information

  • NPI: 1700566635
  • Provider Name: INNER HEALING MEDICAL PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: INNER HEALING MEDICAL
  • CLIA Number: 22D2301510
  • Address: 465 WAVERLEY OAKS RD STE 201
    WALTHAM, MA
    ZIP 02452
  • Phone: (781) 614-7800

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NPI Details

INNER HEALING MEDICAL PLLC is a family medicine in Waltham, MA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INNER HEALING MEDICAL PLLC NPI is 1700566635. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Inner Healing Medical.

The provider's business location address is:

465 WAVERLEY OAKS RD STE 201
WALTHAM, MA
ZIP 02452-489
Phone: (781) 614-7800

The provider's authorized official is Sara Raimundo .
The authorized official title is Vp Of Operations And Member Service and has the following contact phone number (781) 614-7800.

The CLIA number assigned to this NPI record is 22D2301510 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2023 and was last updated on 10/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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